Cargando…

Segmental forearm bone injuries in children: classification and treatment

BACKGROUND: Fractures of the forearm bones in children are a very frequent injury, while segmental injuries of the forearm bones are very rare and have not been sufficiently examined. In this retrospective study, segmental injuries involving the radius, the ulna or both in children are classified an...

Descripción completa

Detalles Bibliográficos
Autor principal: Sferopoulos, N. K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4999371/
https://www.ncbi.nlm.nih.gov/pubmed/26861759
http://dx.doi.org/10.1007/s10195-015-0389-0
_version_ 1782450103720607744
author Sferopoulos, N. K.
author_facet Sferopoulos, N. K.
author_sort Sferopoulos, N. K.
collection PubMed
description BACKGROUND: Fractures of the forearm bones in children are a very frequent injury, while segmental injuries of the forearm bones are very rare and have not been sufficiently examined. In this retrospective study, segmental injuries involving the radius, the ulna or both in children are classified and treatment outcome is presented. MATERIALS AND METHODS: Bone injury included any type of fracture or dislocation; segmental bone injury indicated the occurrence of more than one traumatic injury throughout the whole extent of each forearm bone. A total of 17 patients with 22 segmental bone injuries were identified and classified. Of these injuries, 12 involved the radius and 10 the ulna. The mean age at the time of injury was 8.9 years (range 3–13). In all cases, conservative treatment was the first treatment option; in three cases, however, surgical treatment was necessary. RESULTS: All injuries were classified into five types using the new nomenclature. Patients were evaluated after an average follow-up of 10.4 years. Union was noted in all cases without any complications. The function results were rated as excellent in 15 cases and satisfactory in 2 cases. CONCLUSIONS: An inclusive classification system for segmental injuries of the forearm bones in children is presented. The proposed classification is a practical and utilitarian scheme that classified the patients of this report as well as all case reports previously published in the literature. It revealed that a wide variety of segmental injuries may be diagnosed following forearm injuries in children. This report also provided useful information that may influence the treatment of these complex injuries indicating that conservative treatment may be considered the first treatment option, and that primary surgical treatment is not justified. LEVEL OF EVIDENCE: Level V.
format Online
Article
Text
id pubmed-4999371
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher Springer International Publishing
record_format MEDLINE/PubMed
spelling pubmed-49993712016-09-12 Segmental forearm bone injuries in children: classification and treatment Sferopoulos, N. K. J Orthop Traumatol Original Article BACKGROUND: Fractures of the forearm bones in children are a very frequent injury, while segmental injuries of the forearm bones are very rare and have not been sufficiently examined. In this retrospective study, segmental injuries involving the radius, the ulna or both in children are classified and treatment outcome is presented. MATERIALS AND METHODS: Bone injury included any type of fracture or dislocation; segmental bone injury indicated the occurrence of more than one traumatic injury throughout the whole extent of each forearm bone. A total of 17 patients with 22 segmental bone injuries were identified and classified. Of these injuries, 12 involved the radius and 10 the ulna. The mean age at the time of injury was 8.9 years (range 3–13). In all cases, conservative treatment was the first treatment option; in three cases, however, surgical treatment was necessary. RESULTS: All injuries were classified into five types using the new nomenclature. Patients were evaluated after an average follow-up of 10.4 years. Union was noted in all cases without any complications. The function results were rated as excellent in 15 cases and satisfactory in 2 cases. CONCLUSIONS: An inclusive classification system for segmental injuries of the forearm bones in children is presented. The proposed classification is a practical and utilitarian scheme that classified the patients of this report as well as all case reports previously published in the literature. It revealed that a wide variety of segmental injuries may be diagnosed following forearm injuries in children. This report also provided useful information that may influence the treatment of these complex injuries indicating that conservative treatment may be considered the first treatment option, and that primary surgical treatment is not justified. LEVEL OF EVIDENCE: Level V. Springer International Publishing 2016-02-09 2016-09 /pmc/articles/PMC4999371/ /pubmed/26861759 http://dx.doi.org/10.1007/s10195-015-0389-0 Text en © The Author(s) 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Original Article
Sferopoulos, N. K.
Segmental forearm bone injuries in children: classification and treatment
title Segmental forearm bone injuries in children: classification and treatment
title_full Segmental forearm bone injuries in children: classification and treatment
title_fullStr Segmental forearm bone injuries in children: classification and treatment
title_full_unstemmed Segmental forearm bone injuries in children: classification and treatment
title_short Segmental forearm bone injuries in children: classification and treatment
title_sort segmental forearm bone injuries in children: classification and treatment
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4999371/
https://www.ncbi.nlm.nih.gov/pubmed/26861759
http://dx.doi.org/10.1007/s10195-015-0389-0
work_keys_str_mv AT sferopoulosnk segmentalforearmboneinjuriesinchildrenclassificationandtreatment